Does motivation mediate the relationship between competence perceptions and patient outcomes among individuals with chronic low back pain? A multiple mediation analysis

Leslie Podlog, Ryan Burns, James A. Dimmock, Ben Jackson, Morgan S. Hall, Julie M. Fritz

Research output: Contribution to journalReview article

Abstract

Purpose: The aim of this study was to examine: (1) motivations of patients with chronic low back pain to attend physical therapy; (2) relationships between competence perceptions, motivational regulations, and pain/disability; and (3) whether patient motivations to attend physical therapy mediate the relationship between competence perceptions and pain/disability. Methods: A sample of 64 participants completed baseline assessment (1-week prior to initiation of physical therapy) and 6-week follow-up assessment. Differences between motivation variables at baseline were examined using one-way within-person ANOVA. Relationships between competence perceptions, motivation subscales, and pain/disability were calculated using bivariate correlations and multiple mediation analyses. Results: Participants reported significantly higher levels of autonomous versus controlled motivation (mean difference = 3.5, p <0.001, d = 2.3) and amotivation (mean difference = 3.6, p <0.001, d = 2.4). Competence was positively associated with autonomous motivation (r = 0.45, p

Original languageEnglish
Number of pages7
JournalDisability and Rehabilitation
DOIs
Publication statusE-pub ahead of print - 8 Jul 2019

Cite this

@article{03145d96596243c69f052b3ffe832ae0,
title = "Does motivation mediate the relationship between competence perceptions and patient outcomes among individuals with chronic low back pain? A multiple mediation analysis",
abstract = "Purpose: The aim of this study was to examine: (1) motivations of patients with chronic low back pain to attend physical therapy; (2) relationships between competence perceptions, motivational regulations, and pain/disability; and (3) whether patient motivations to attend physical therapy mediate the relationship between competence perceptions and pain/disability. Methods: A sample of 64 participants completed baseline assessment (1-week prior to initiation of physical therapy) and 6-week follow-up assessment. Differences between motivation variables at baseline were examined using one-way within-person ANOVA. Relationships between competence perceptions, motivation subscales, and pain/disability were calculated using bivariate correlations and multiple mediation analyses. Results: Participants reported significantly higher levels of autonomous versus controlled motivation (mean difference = 3.5, p <0.001, d = 2.3) and amotivation (mean difference = 3.6, p <0.001, d = 2.4). Competence was positively associated with autonomous motivation (r = 0.45, p",
keywords = "Amotivation, pain, disability, physical therapy, Self-Determination Theory, EXERCISE PROGRAM, AUTONOMY SUPPORT, SELF-REGULATION, REHABILITATION, CONSEQUENCES, AMOTIVATION, ADHERENCE, HEALTH",
author = "Leslie Podlog and Ryan Burns and Dimmock, {James A.} and Ben Jackson and Hall, {Morgan S.} and Fritz, {Julie M.}",
year = "2019",
month = "7",
day = "8",
doi = "10.1080/09638288.2019.1643421",
language = "English",
journal = "Disability & Rehabilitation",
issn = "0963-8288",
publisher = "Taylor & Francis",

}

TY - JOUR

T1 - Does motivation mediate the relationship between competence perceptions and patient outcomes among individuals with chronic low back pain? A multiple mediation analysis

AU - Podlog, Leslie

AU - Burns, Ryan

AU - Dimmock, James A.

AU - Jackson, Ben

AU - Hall, Morgan S.

AU - Fritz, Julie M.

PY - 2019/7/8

Y1 - 2019/7/8

N2 - Purpose: The aim of this study was to examine: (1) motivations of patients with chronic low back pain to attend physical therapy; (2) relationships between competence perceptions, motivational regulations, and pain/disability; and (3) whether patient motivations to attend physical therapy mediate the relationship between competence perceptions and pain/disability. Methods: A sample of 64 participants completed baseline assessment (1-week prior to initiation of physical therapy) and 6-week follow-up assessment. Differences between motivation variables at baseline were examined using one-way within-person ANOVA. Relationships between competence perceptions, motivation subscales, and pain/disability were calculated using bivariate correlations and multiple mediation analyses. Results: Participants reported significantly higher levels of autonomous versus controlled motivation (mean difference = 3.5, p <0.001, d = 2.3) and amotivation (mean difference = 3.6, p <0.001, d = 2.4). Competence was positively associated with autonomous motivation (r = 0.45, p

AB - Purpose: The aim of this study was to examine: (1) motivations of patients with chronic low back pain to attend physical therapy; (2) relationships between competence perceptions, motivational regulations, and pain/disability; and (3) whether patient motivations to attend physical therapy mediate the relationship between competence perceptions and pain/disability. Methods: A sample of 64 participants completed baseline assessment (1-week prior to initiation of physical therapy) and 6-week follow-up assessment. Differences between motivation variables at baseline were examined using one-way within-person ANOVA. Relationships between competence perceptions, motivation subscales, and pain/disability were calculated using bivariate correlations and multiple mediation analyses. Results: Participants reported significantly higher levels of autonomous versus controlled motivation (mean difference = 3.5, p <0.001, d = 2.3) and amotivation (mean difference = 3.6, p <0.001, d = 2.4). Competence was positively associated with autonomous motivation (r = 0.45, p

KW - Amotivation

KW - pain

KW - disability

KW - physical therapy

KW - Self-Determination Theory

KW - EXERCISE PROGRAM

KW - AUTONOMY SUPPORT

KW - SELF-REGULATION

KW - REHABILITATION

KW - CONSEQUENCES

KW - AMOTIVATION

KW - ADHERENCE

KW - HEALTH

U2 - 10.1080/09638288.2019.1643421

DO - 10.1080/09638288.2019.1643421

M3 - Review article

JO - Disability & Rehabilitation

JF - Disability & Rehabilitation

SN - 0963-8288

ER -